Repair of Partial Atrioventricular Septal Defect through a Minimal Right Vertical Infra-Axillary Thoracotomy

Yang, Xiubin; Wang, Dongjin; Wu, Qingyu

doi:10.1046/j.1540-8191.2003.02042.x

Cited by 13 publications

(11 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, VRAMT procedures can be performed using standard instruments for access and the correction itself. These findings confirm previously reported advantages and results by other groups [4,18,[23][24][25].…”

Section: Commentsupporting

confidence: 93%

Vertical Right Axillary Mini-Thoracotomy for Correction of Ventricular Septal Defects and Complete Atrioventricular Septal Defects

Heinisch

Wildbolz

Beck

et al. 2018

The Annals of Thoracic Surgery

View full text Add to dashboard Cite

Background. Vertical right axillary mini-thoracotomy (VRAMT) is the standard approach for correction of atrial septal defect and partial atrioventricular septal defect at our institution. This observational single-center study compares our initial results with the VRAMT approach for the repair of ventricular septal defect (VSD) and complete atrioventricular septal defect (CAVSD) in infants and children to an approach using standard median sternotomy (MS). Methods. The perioperative courses of patients undergoing VSD and CAVSD correction through either a VRAMT or an MS were analyzed retrospectively. The surgical technique for the VRAMT involved a 4-to 5-cm vertical incision in the right axillary fold. Results. Of 84 patients, 25 (VSD, n [ 15; CAVSD, n [ 10) underwent correction through a VRAMT approach, whereas 59 (VSD, n [ 35; CAVSD, n [ 24) had repair through MS. VSD and CAVSD groups were comparable with respect to age and weight. No significant differences were observed for aortic cross-clamp duration, intensive care unit stay, hospital stay, and echocardiographic follow-up. There was no need for any conversion from VRAMT to MS in any case. Neither wound infections nor thoracic deformities were observed in both groups. Conclusions. VRAMT can be considered as a safe and effective approach for the repair of VSD and CAVSD in selected patient groups, and the outcome data appear comparable to those of MS.

show abstract

Section: Commentsupporting

confidence: 93%

Vertical Right Axillary Mini-Thoracotomy for Correction of Ventricular Septal Defects and Complete Atrioventricular Septal Defects

Heinisch

Wildbolz

Beck

et al. 2018

The Annals of Thoracic Surgery

View full text Add to dashboard Cite

show abstract

“…At present, several operation methods are available, such as traditional median sternotomy repair of the defect with CPB, repair of the defect with the heart beating (Yang et al, 2003), and small-incision repair of the defect (Massetti et al, 1996). Although these methods result in improved myocardial preservation and incision healing, they still require extracorporeal circulation and cannot be considered minimally invasive surgeries.…”

Section: Discussionmentioning

confidence: 99%

Transthoracic closure of atrial septal defect and ventricular septal defect without cardiopulmonary bypass

Lee

et al. 2015

Genet. Mol. Res.

View full text Add to dashboard Cite

ABSTRACT. The minimally invasive surgical transthoracic occlusion of an atrial septal defect (ASD) or a ventricular septal defect (VSD) is an increasingly widespread alternative treatment for congenital heart disease. The aim of this study is to summarize our clinical experience with minimally invasive surgical transthoracic occlusion of ASD and VSD without cardiopulmonary bypass (CPB). Between April 2011 and October 2012, 27 patients with ASD and 95 patients with VSD (78 men and 44 women) were considered for minimally invasive surgical transthoracic occlusion without CPB. A small infrasternal incision (2.0-4.0 cm) was made under general anesthesia, under transesophageal echocardiography (TEE) guidance; the ASD and VSD were closed by using an appropriate occluder; and TEE was performed simultaneously to demonstrate the position of the device, any residual shunting, or encroachment on the atrioventricular valve, coronary sinus, or aortic valve. Successful transthoracic occlusion was performed in all 122 3761 ©FUNPEC-RP www.funpecrp.com.br Genetics and Molecular Research 14 (2): 3760-3766 (2015) Minimally invasive surgical transthoracic occlusion patients without complications. No complications such as thirddegree atrioventricular block and residual shunting occurred after the procedures. The ventilation time was 2.2 ± 1.2 h, and the average length of hospital stay was 4.7 ± 1.7 days. All patients received aspirin at 3 mg·kg -1 ·day -1 (maximum 100 mg/day) 24 h after the procedure. Minimally invasive surgical transthoracic occlusion without CPB is a new treatment that has many advantages such as causing little trauma, promoting quick recovery, having less complications, and avoiding radiation damage. However, the appropriate selection of patients is still key to improving the success rate of the operation.

show abstract

“…Transcatheter closure has also been reported [Stamato 1995], but in that case the APW was a very small defect. Previously in our department, right vertical infra-axillary thoracotomy had been employed to repair congenital heart defects such as atrial septal defects [Yang 2001], ventricular septal defects [Wang 2010], atrioventricular septal defects [Wang 2003], and mitral valve replacement [Wang 2009]. With our accumulated experience and accurate diagnosis, we decided to perform the surgery through the right vertical infra-axillary incision and got a good result.…”

Section: Discussionmentioning

confidence: 99%

“…The superior pericardial stay stitches were placed on partial pleura of ribs to elevate the aorta into the operative fi eld. The cannulation of the inferior vena cava, superior vena cava, and ascending aorta were performed as described previously [Yang 2001;Yang 2003]. A distal APW located in the middle of the ascending aorta (Figure 1), termed as a type IV defect [Backer 2002].…”

Section: Case Reportmentioning

confidence: 99%

“…APW with subaortic stenosis and ventricular septal defect is a rare case. In our department, minimal right vertical infra-axillary thoracotomy has been used for repair of atrial septal defect, ventricular septal defect, and mitral valve replacement and has proved to be a safe and cosmetic alternative to median sternotomy [Yang 2001;Yang 2003;Wang 2009;Wang 2010]. With the accumulated surgical experience, we did the surgery using the minimal right vertical infra-axillary thoracotomy.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Aortopulmonary Window with Subaortic Fibrous Stenosis and Septal Defect: Surgery through a Minimal Right Vertical Infra-Axillary Thoracotomy

Pan

Li²,

Zhou³

et al. 2011

HSF

View full text Add to dashboard Cite

show abstract

Repair of Partial Atrioventricular Septal Defect through a Minimal Right Vertical Infra-Axillary Thoracotomy

Abstract: The minimal right vertical infra-axillary thoracotomy is a safer, more cosmetic and less invasive approach than median sternotomy for the repair of PAVSD.

Cited by 13 publications

References 8 publications

Vertical Right Axillary Mini-Thoracotomy for Correction of Ventricular Septal Defects and Complete Atrioventricular Septal Defects

Vertical Right Axillary Mini-Thoracotomy for Correction of Ventricular Septal Defects and Complete Atrioventricular Septal Defects

Transthoracic closure of atrial septal defect and ventricular septal defect without cardiopulmonary bypass

Aortopulmonary Window with Subaortic Fibrous Stenosis and Septal Defect: Surgery through a Minimal Right Vertical Infra-Axillary Thoracotomy

Contact Info

Product

Resources

About